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What are the functions of the Utilization Management (UM) Department?

April 26, 2017Department functions Management UM utilization

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What are the functions of the Utilization Management (UM) Department?

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The Utilization Management (UM) Department reviews Referrals and Inpatient Precertifications not completed in iEXCHANGE. The UM Department may be reached at 1-800-441-9188, select 1 (English), then select 3 (preauthorizations & referrals), then select 3 (preauthorizations & referrals) again, then select 2 (Medical/Surgical). Telephones are answered by UM personnel from 6:00 AM to 6:00 PM, CST, Monday through Friday and non-legal holidays and 9:00 AM to 12:00 PM (noon) CST, Saturday, Sunday and legal holidays. Messages may be left in a confidential voice mailbox after business hours.